Provider Demographics
NPI:1528532504
Name:FOOT AND ANKLE OF AUGUSTA PA
Entity type:Organization
Organization Name:FOOT AND ANKLE OF AUGUSTA PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-725-4008
Mailing Address - Street 1:PO BOX 1673
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-7673
Mailing Address - Country:US
Mailing Address - Phone:207-620-7273
Mailing Address - Fax:207-620-7275
Practice Address - Street 1:3 SAINT CATHERINE ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5732
Practice Address - Country:US
Practice Address - Phone:207-620-7273
Practice Address - Fax:207-620-7275
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOOT AND ANKLE ASSOCIATES OF MAINE, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-14
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty